Table 2 Pediatric caudal epidural block practices reported by the anesthesiologists.

From: A multicenter survey of pediatric caudal epidural anesthesia practices in resource-limited settings

#

Item

n

%

1

The devices used to access epidural space

  
 

Needles

  

 Hollow needle, non-specified

157

96.9

 Stylleted needle

2

1.2

 Tuohy needle

2

1.2

 Butterfly needle

1

0.6

Catheters, non-specified

162

100.0

2

The gauge sizes

  
 

18G

8

4.9

20G

12

7.4

22G

122

75.3

24G

24

14.8

3

The method used for ensuring accurate placement of needles, catheters, local anesthetics, additives, and adjuncts in the epidural space

  
 

Aspiration before injection

104

64.2

Needle passage through the sacrococcygeal ligament

68

42.0

Ease of cannula advancement into the caudal epidural space

57

35.2

Injection of local anesthetic into caudal epidural space

46

28.4

Air injection into caudal epidural space

46

28.4

Saline injection into caudal epidural space

31

19.1

Swoosh test

10

6.2

Ultrasound imaging

5

3.1

4

Local anesthetics used

  
 

Bupivacaine

148

91.4

Lignocaine/lidocaine

26

16.0

Ropivacaine

6

3.7

Levobupivacaine

1

0.6

5

Additives and adjuncts

  
 

Ketamine

151

93.2

Opioids

96

59.3

Midazolam

7

4.3

Dexamethasone

6

3.7

Clonidine

3

1.9

6

The upper age limit for the usage of caudal epidural anesthesia in children

  
 

3 months

2

1.2

6 months

2

1.2

1 year

7

4.3

2 years

14

8.6

3 years

9

5.6

4 years

82

50.6

5 years

2

1.2

6 years

4

2.5

7 years

1

0.6

8 years

1

0.6

10 years

8

4.9

12 years

1

0.6

13 years

2

1.2

14 years

1

0.6

15 years

1

0.6

No Limit

25

15.4

7

The maximum duration the anesthesiologist leaves the catheter in situ

  
 

< 12 h

99

61.1

Up to 24 h

60

37.0

Up to 36 h

3

1.9

8

The methods used to provide asepsis for single-shot caudal epidural

  
 

Gloves, gowns, and masks

93

57.4

Gloves only

61

37.7

No touch technique

4

2.5

Gloves and masks

5

3.1

Scrubbing the site of insertion with chlorhexidine

2

1.2